Evaluation of Infants and Young Children with Suspected Dysphagia

presented by Joan Arvedson & Maureen Lefton-Greif

Accreditation Check:

This session will focus on the clinic/bedside and instrumental assessment of swallowing in infants and children. Information will include the basic information derived from each type of evaluation, identification of children who should be evaluated, and the advantages versus disadvantages associated with each type of evaluation process.

Meet Your Instructors

  • Joan Arvedson, PhD, CCC-SLP, BCS-S, ASHA Fellow

    Joan Arvedson, PhD, CCC-SLP, BCS-S, ASHA Fellow

    Joan Arvedson, PhD, CCC-SLP, BCS-S, is an internationally renowned clinician and teacher. She is Program Coordinator of Feeding and Swallowing Services at Children’s Hospital of Wisconsin - Milwaukee. She is Clinical Professor in the Division of Gastroenterology, Department of Pediatrics, Medical College of Wisconsin - Milwaukee. Dr. Arvedson received her BS, MS, and PhD from University of Wisconsin-Madison. She is an ASHA Fellow. Dr. Arvedson has focused patient care, teaching, and research on swallowing and feeding disorders in infants and children, delivering evidence-based knowledge and immediately applicable strategies via workshops and seminars throughout the world. She emphasizes a functional “whole” child approach stressing the importance of collaboration among professionals and caregivers. She has 3 books in publication: Interpretation of Videofluoroscopic Swallow Studies of Infants and Children: A study guide to improve diagnostic skills and treatment planning, 2007, Northern Speech Services; Pediatric Swallowing and Feeding: Assessment and Management, 2nd edition, 2002, with L. Brodsky, MD, Delmar Cengage Learning; Pediatric Videofluoroscopic Swallow Studies: A Profesional Manual with Caregiver Guidelines, 1999 (with M. Lefton-Greif, PhD), Pearson Publishing. Two self-study courses for continuing education by Dr. Arvedson (Clinical Decision Making and Management of Pediatric Feeding and Swallowing Problems) are available through ASHA. Dr. Arvedson has numerous articles focused on pediatric swallowing and feeding in peer reviewed journals.

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  • Maureen Lefton-Greif, Ph.D., CCC-SLP, BCS-S, ASHA Fellow

    Maureen Lefton-Greif, Ph.D., CCC-SLP, BCS-S, ASHA Fellow

    Maureen Lefton-Greif, Ph.D., CCC-SLP, BCS-S is a Professor of Pediatrics, Otolaryngology-Head and Neck Surgery, and Physical Medicine and Rehabilitation at Johns Hopkins University School of Medicine. She is an ASHA fellow. Dr. Lefton-Greif is recognized nationally and internationally as a leader in linking clinical practice with research. Her work is credited with identifying dysphagia in children who were not previously recognized as having swallowing impairments and thereby with improving their care and survival. Dr. Lefton-Greif developed the first outcome measure to assess the impact of children’s feeding/swallowing problems on their caregivers and is considered a national expert in this area. Dr. Lefton-Greif has published more than 30 peer reviewed articles, including original research, and 7 book chapters. Her research focuses on standardization of fluoroscopic images from bottle-fed children with dysphagia and respiratory-swallow coordination in progressive diseases with pediatric origins. She co-authored with Dr. Arvedson Pediatric Videofluoroscopic Swallow Studies: A Professional Manual with Caregiver Guidelines, 1999. She is a Board Certified Specialist in Swallowing and Swallowing Disorders and serves on the Editorial Advisory Board of the Journal of Dysphagia and Editorial Review Board of the Canadian Journal of Speech-Language Pathology and Audiology.

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Chapters & Learning Objectives

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  1. Evaluation of Feeding and Swallowing

    1. Evaluation of Feeding and Swallowing

    This chapter will provide an overview of the purposes and components of the bedside/clinic or non-instrumental feeding/swallowing evaluation for infants and children. The rationale, advantages, and limitations associated with this evaluation will be presented.

  2. Instrumental Assessments of Swallowing: The Flexible Endoscopic Evaluation of Swallowing (FEES) evaluation for infants and children with feeding/swallowing problems

    2. Instrumental Assessments of Swallowing: The Flexible Endoscopic Evaluation of Swallowing (FEES) evaluation for infants and children with feeding/swallowing problems

    This chapter will provide an overview of the rationale for instrumental swallowing evaluations, purposes, and components of the FEES evaluation in infants and children. The rationale, advantages, and limitations associated with this evaluation will be presented.

  3. Q&A Panel Discussion

    3. Q&A Panel Discussion

    This chapter is a question and answer panel discussion with both instructors and Dr. Miller